Stable+ | |||||||
Treatment Method | AVN % | CL % | FAI % | Patient Satisfaction | Indication* | Comments* | |
Pinning Using Single Screw | 1.4 | 2.1 | 29.8 | 47% excellent 36% good |
First option for mild –moderate. Can be used in severe stable |
Screws that allow continued growth should be chosen in relation to standard screws | |
Pinning Using Multiple Pins | 2.2 | 4 | NR | 67% excellent 17% good |
Good alternative to mild-moderate | Is often chosen in 2nd option with Pinning using single screw | |
Physeal Osteotomy | 11.1 | 9.8 | 1.5 | 28% excellent 45% good |
Good option for severe stable | intracapsular cuneiform osteotomies of Dunn and Fish |
|
Bone Graft Epiphysiodesis | 3 | 1.3 | NR | 67% excellent 06% good |
Alternative for severe | Less used by orthopedists: blood loss, donor site morbidity, length of surgical time and length of stay | |
Hip Spica | 9.5 | 20.5 | NR | NR | Obsolete option in developed countries | A relative option for mild to moderate SCFE in LCIs | |
Ganz Surgical Dislocation | 3.1 | 2.1 | 6 | 87% excellent 03% good |
Alternative for severe stable | Very high patient satisfaction after intervention, but high risk of AVN | |
Unstable¶ | |||||||
Pinning in situ | 33 | NR | NR | NR | Mild to moderate | Highest rate of AVN | |
Closed Reduction and Pinning | 26 | NR | NR | Moderate to severe | Lire 101 | ||
Open Reduction and Internal Fixation |
5 | NR | NR | NR | severe | Is associated with the lowest rate of AVN | |
Open Reduction and Physeal Osteotomy |
17 | NR | NR | NR | severe | restore the proximal femoral anatomy Lire 101 | |
Ganz Surgical Dislocation | 18 | NR | NR | NR | severe | Lire 101 | |
Epiphysiodesis | 9 | NR | NR | Severe | Chronic symptoms |